{"title":"Choroidal metastasis: A case report","authors":"Kenneth Neil McMackin, O.D","doi":"10.1016/S0953-4431(97)10027-3","DOIUrl":"10.1016/S0953-4431(97)10027-3","url":null,"abstract":"<div><p>Choroidal metastases can display a broad spectrum of clinical signs and symptoms. Due to the fact that they often appear similar to a host of other ocular conditions, the diagnosis may be difficult without a prior history of malignancy. In many instances, ocular symptoms may be the patient's first indication of a problem. A 70-year-old black female presented with multiple, bilateral uveal metastases. In addition to a complete report of this case, a discussion of the incidence, appearance, symptoms, differential diagnoses, etiology and treatment of uveal metastases is provided.</p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"10 1","pages":"Pages 27-33"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(97)10027-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56467427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ciliochoroidal effusion","authors":"Julie Torbit, O.D","doi":"10.1016/S0953-4431(97)10031-5","DOIUrl":"https://doi.org/10.1016/S0953-4431(97)10031-5","url":null,"abstract":"<div><p>An accumulation of an abnormal amount of serous fluid<span> in the suprachoroidal space is termed ciliochoroidal effusion. This entity is often associated with hypotony, intraocular surgery and inflammation. However, ciliochoroidal effusions can be idiopathic and have no signs or symptoms. This clinical review takes an in depth look at the pathophysiology and various etiologies of a ciliochoroidal effusion as well as associated conditions. Clinical features, differential diagnoses, complications and treatment strategies are also reviewed.</span></p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"10 1","pages":"Pages 3-10"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(97)10031-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91602382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"4. Rhode Island Optometric Association","authors":"Samuel J. Montalto O.D.","doi":"10.1016/S0953-4431(97)90018-7","DOIUrl":"10.1016/S0953-4431(97)90018-7","url":null,"abstract":"","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"9 4","pages":"Page 235"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(97)90018-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56467660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Herpes zoster ophthalmicus","authors":"Brian D. Looney","doi":"10.1016/S0953-4431(97)10017-0","DOIUrl":"10.1016/S0953-4431(97)10017-0","url":null,"abstract":"<div><p>Herpes zoster is a common disease of both healthy adults and those who are immunocompromised. The purpose of this review is to present the current understanding of its epidemiology, virology, pathogenesis and treatment. A case report is included to emphasize the sometimes atypical presentation and possible secondary bacterial complications. Involvement of the ophthalmic branch of the trigeminal nerve can cause a host of ocular complications. Proper understanding of the nature of the disease process is essential for the management of both systemic and ocular manifestations of herpes zoster.</p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"9 4","pages":"Pages 203-211"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(97)10017-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56467386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effect of topical instillation of 2.5% phenylephrine and 1.0% tropicamide on the blood pressure of hypertensive patients","authors":"Irene H. Tang, J. Nishimoto, F. Chang","doi":"10.1016/S0953-4431(97)10020-0","DOIUrl":"10.1016/S0953-4431(97)10020-0","url":null,"abstract":"<div><p><em>Background:</em> Pupillary dilation is necessary to complete a thorough examination of the internal ocular structures and perform threshold visual fields on the automated perimeter. In our clinic, the topical instillation of 2.5% phenylephrine and 1.0% tropicamide following one drop of topical anesthetic is used routinely for pupil dilation. The vasoconstrictive effects of phenylephrine can cause an increase in peripheral resistance resulting in elevation of systolic and diastolic blood pressures. A rise in systemic blood pressure has been shown to occur following topical instillation of phenylephrine (Heath, Arch Ophthalmol, 1936;16:839–846). This study investigates the effect of topical instillation of 2.5% phenylephrine and 1.0% tropicamide on the blood pressure of known hypertensive patients 30 and 70 min after instillation. <em>Methods:</em> 118 hypertensive patients, all of whom were being treated with anti-hypertensive medications, were involved in the study. Fifty-six patients were dilated with two drops 2.5% phenylephrine and two drops 1.0% tropicamide instilled 5 min apart after one drop of local anesthetic (proparacaine 0.5%). The remaining 62 patients were examined but not dilated. Blood pressure was measured using a sphygmomanometer and stethoscope (right arm sitting) prior to dilation and 30 and 70 min following drop instillation. <em>Results:</em> No clinically significant increase in blood pressure at 30 and 70 min after instillation was observed in the hypertensive group that was dilated. In addition, the change in blood pressure of the dilated group and undilated group was not statistically significant. <em>Conclusion:</em> This study shows that pupillary dilation with 2.5% phenylephrine and 1.0% tropicamide did not significantly increase systemic blood pressure in this population of hypertensive patients.</p></div>","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"9 4","pages":"Pages 227-231"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(97)10020-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56467401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"3. Massachusetts Society of Optometrists","authors":"Brenda Olson O.D.","doi":"10.1016/S0953-4431(97)10023-6","DOIUrl":"10.1016/S0953-4431(97)10023-6","url":null,"abstract":"","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"9 4","pages":"Pages 234-235"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(97)10023-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56467406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Retinal folds associated with drusen of optic nerve head","authors":"Peter G. Swann, David M. Webster","doi":"10.1016/S0953-4431(97)10014-5","DOIUrl":"10.1016/S0953-4431(97)10014-5","url":null,"abstract":"","PeriodicalId":80266,"journal":{"name":"Clinical eye and vision care","volume":"9 4","pages":"Page 187"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0953-4431(97)10014-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56467233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}